Lead Director, Clinical Innovation Delivery

CVS Health

4d • Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This position is fully remote, Qualified candidates can live anywhere in the contiguous United States Position Summary The Lead Director of Clinical Innovation Delivery is a critical leader and is responsible for managing and successfully driving the clinical innovation initiatives that solves key business problems and creates new sources of value for Utilization Management within Aetna’s Clinical Solutions business unit. This role leads the planning, execution, and delivery of complex high-impact initiative aligned to corporate goals, regulatory requirements and clinical best practices. The ideal candidate will have deep domain expertise in health insurance, strong portfolio management skills, and a proven track record of delivering large-scale, customer-facing innovative solutions. Lead innovation initiatives to modernize healthcare UM operations by aligning cross‑functional teams, advancing strategic priorities, and driving continuous improvement.

Requirements

• 10+ years’ experience in healthcare project management with proven track record of leading large-scale, complex initiatives in healthcare insurance or managed care organization
• Strong understanding within clinical and health plan operations and value creation methodologies including Utilization and Policy Management, Care Management and Coordination, Quality, Compliance and Regulatory Management
• Successful experience in strategic planning, execution, and agile project portfolio management within healthcare industry
• Strong data and analytics skills to include modeling, synthesizing information and deriving key insights.
• Expertise in technologies such as APIs, Microservices, Business Rules, Predictive Modeling, AI, NLP.
• High ability to consistently produce and create value and meet/exceed committed performance
• Strong interpersonal and communication skills, effectively communicate key messages to executive leaders and internal/external stake holders.
• Strong verbal and written communication skills; proven ability to deliver presentations to senior leadership team members
• Effectively lead and motivate teams to ensure high standards of performance and outcomes
• Bachelor's Degree Required

Nice To Haves

• 5+ years with demonstrated leadership and experience with the following: Innovation, advanced analytics, generative AI, business process optimization, enterprise business portfolio management/consulting, financial analysis, mergers and acquisitions, strategic planning, risk management
• Health domain certifications such as AHIP certifications (Fundamentals of Healthcare Part A & B, AHM250).
• Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.
• Experience creating new capabilities and/or project offerings that result in new value; conceptual and structured thinker that has a high degree to generate and translate concepts and ideas into effective strategies that achieve results
• Ability to manage and grow a team of individuals to achieve departmental goals at a rapid pace
• Ability to embrace change, uncertainly and shifting priorities and plans to accommodate broader changing objectives and demands
• Master's Degree preferred

Responsibilities

• Lead and manage strategic projects and programs from initiation to completion, ensuring on-time delivery, budget adherence, and alignment with defined scope and objectives.
• Oversee end to end solution delivery, including concept design, proof of value evaluation, pilot execution, scaled readiness, and ongoing value realization and performance monitoring.
• Develop and manage interventions, facilitate collaborative working sessions to support adoption and continuous improvement, and deliver high quality analysis, reporting, and presentation materials.
• Collaborate with senior leadership to define strategic plans, establish program objectives, and ensure alignment with organizational priorities
• Apply formal project management methodologies to manage timelines, risks, dependencies, and change controls; maintain detailed documentation, dashboards, and executive-level reporting.
• Monitor budgets and resource allocation to ensure financial accountability and maximize ROI; proactively develop mitigation strategies and contingency plans to address risks
• Responsible for developing, motivating and managing a high-performing team members to meet organizational goals and objectives while effectively managing change.
• Contribute to a motivated work environment by working collaboratively and effectively with key stakeholders across Health Care Business and Aetna Clinical Solutions to achieve common goals.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level